Ortho Oracle - orthopaedic operative atlas

Examination for Posterolateral Rotary Instability of the Knee

– Clinical Findings:     – history: patient may complain of a subjective knee hyperextension sensation, and twisting or pivoting are also difficult;     – lack of contained effusion is suggestive of posterolateral capsular injury;     – look for diffuse tenderness over the posterolateral joint region, fibular head, and joint line;     … Read more

Exam: Spondylolithesis

– See: Back Pain in Children – Discussion:     – results of exam may be normal in child w/ spondylolysis or mild (Grade-I or Grade-II) spondylolisthesis. – Back:     – tenderness to palpation in the low back;     – splinting as well as guarding & restriction of side-to-side motion of low back, particularly … Read more

Evaluation for THR Loosening

– See: THR Main Menu: – Discussion:     – evaluation of painful THR:     – when previously pain free hip becomes painful, suspect loosening;     – where as acetabular loosening tends to cause groin pain, femoral loosening tends to cause thigh pain;     – increased limp and shortening are signs of … Read more

Exam for Scapholunate Instability

– See:       – Carpal Instability:               – scapholunate advanced collapse               – scapholunate instability   – Discussion:     – scapholunate and lunate injuries cause tenderness just distal to Lister’s tubercle;            – marked prominence of the entire carpus dorsally may indicate … Read more

Ewing’s Sarcoma Bibliography

Ewing’s sarcoma. Prognostic factors, disease control, and the reemerging role of surgical treatment. Limb reconstruction with vascularized fibular grafts after bone tumor resection. Fractures of long bones previously treated for Ewing’s sarcoma. The cellular biology of bone tumors. Pelvic Ewing’s sarcoma. Advances in treatment. Second cancers in long-term survivors of Ewing’s sarcoma. The role of surgical … Read more

Ewing’s Sarcoma

– See: Bone Tumor Menu – Discussion:     – prevalence:          – it represents approx 7% of all primary bone malignancies;           – second most common primary malignant bone tumor (behind osteosarcoma) (2.1 per 1 million children)          – Ewing’s sarcoma is more common in males and is rare in blacks;     – … Read more